14D1070905 CLIA NUMBER - CHILDRENS MEDICAL GROUP S C

Laboratory Demographics

  • CLIA Code: 14D1070905
  • Facility Name: CHILDRENS MEDICAL GROUP S C
  • Facility Address: 301 N RANDALL RD
    LAKE IN THE HILLS, IL
    ZIP 60156
  • Facility Phone: 847 658-6065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN K. O'BRIEN M D
  • NPI Number: 1740483718
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1070905
LAB Type Physician Office
Facility Name CHILDRENS MEDICAL GROUP S C
Street 301 N RANDALL RD
City LAKE IN THE HILLS
State IL
ZIP 60156
Phone 847 658-6065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director ERIN K. O'BRIEN M D

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This page was last updated on: 9/29/2025